Ua ʻike anei ʻoe i kahi puʻupuʻu i loko o kou umauma i kou nānā ʻana iā ia iho, a i ʻole i kou ʻauʻau ʻana? He mea maʻamau ka manaʻo nui i ka makaʻu a me ka hopohopo ke manaʻo ʻoe i kekahi mea e like me ia. "He maʻi kanesa anei kēia?" ʻo ia ka nīnau e hiki mau mai ana i ka noʻonoʻo. Akā e ʻōlelo mua kākou ʻaʻole nā puʻupuʻu āpau i loko o ka umauma he maʻi kanesa. ʻO ka ʻoiaʻiʻo, he nui o lākou he mea ʻino ʻole a hiki ke lilo i mau mea maʻalahi. I kēia lā ke kamaʻilio nei mākou e pili ana i ka fibroadenoma, kahi ʻano puʻupuʻu i maʻamau i waena o nā wahine, akā ʻaʻole ia he maʻi kanesa.
I ka ʻōlelo maʻalahi, he aha ka fibroadenoma?
He puʻupuʻu paʻa a maikaʻi ʻole ka fibroadenoma e hana ʻia ana i loko o ka umauma. ʻO ke kikoʻī, ua hana ʻia ia me ka hui ʻana o nā ʻiʻo fibrous a me nā ʻiʻo glandular i loko o ka umauma. He poepoe kēia mau puʻupuʻu, laumania ke pā aku, a hiki ke neʻe iki ma lalo o ka ʻili. Manaʻo lākou e like me kahi kinikini liʻiliʻi a laumania i loko o ka umauma.
ʻO ka mea nui, ʻaʻole he maʻi kanesa nā fibroadenomas. Koe wale nō i nā hihia kakaikahi loa, hiki ʻole ke noʻonoʻo ʻia, ʻaʻole lākou e lilo i maʻi kanesa.
I ka hapanui o nā hihia, e emi ana kēia mau puʻupuʻu i ka hala ʻana o ka manawa me ka ʻole o kekahi lāʻau lapaʻau, a i ʻole e nalo loa paha. I kekahi manawa, e nānā paha kāu kauka i ka puʻupuʻu no kekahi manawa e ʻike inā e loli ana, a i ʻole e paipai paha i ka wehe ʻana i ke ʻoki kino inā pono.
Aia kekahi mau ʻano fibroadenomas?
ʻAe, aia kekahi mau ʻano nui. E nānā kākou i ke ʻano o lākou.
| ʻAno o ka fibroadenoma | Nā mea e pono ai ke ʻike e pili ana i kēia |
|---|---|
| ʻO ka Fibroadenoma maʻalahi | ʻO kēia ke ʻano maʻamau. He liʻiliʻi ko lākou nui. ʻO ka mea nui loa, ʻaʻole kēia ʻano puʻupuʻu e hoʻopilikia i ka maʻi ʻaʻai umauma. Ke nānā ʻia ma lalo o kahi microscope, ʻike like nā ʻāpana o kēia ʻiʻo ma nā wahi āpau, like. |
| ʻO ka Fibroadenoma paʻakikī | ʻO kēia nā mea maʻamau i nā wahine ma luna o 35 mau makahiki. Hiki iā lākou ke nui loa. Ke nānā ʻia ma lalo o kahi microscope, hiki iā lākou ke hōʻike i nā loli liʻiliʻi i loko o nā cell. Hiki iā ʻoe ke ʻike i nā calcifications a i ʻole cysts ma kāu mammogram. Hiki i kēia ʻano puʻupuʻu ke hoʻonui iki i kou pilikia o ka maʻi ʻaʻai umauma i hoʻohālikelike ʻia me kahi mea ʻaʻohe puʻupuʻu. Akā, ʻaʻole ia he pilikia nui. |
| ʻO ka Fibroadenoma Nui | He ʻano fibroadenoma kēia e ulu ana ma mua o 5 kenimika. |
| ʻO ka Fibroadenoma ʻōpio | He ʻano kākaʻikahi loa kēia e ʻike ʻia i nā kaikamahine ʻōpio ma waena o nā makahiki 10 a me 18. |
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau loa kēia. ʻO Fibroadenomas nā puʻupuʻu maʻamau ʻaʻole maʻi kanesa i loko o nā umauma. He mea maʻamau lākou i waena o nā wahine ma waena o 15 a me 35 mau makahiki. Wahi a nā noiʻi, hoʻokahi i loko o 10 mau wahine (10%) e loaʻa i hoʻokahi fibroadenoma i ko lākou ola.
He aha nā hōʻailona o ka fibroadenoma?
Inā loaʻa iā ʻoe ka fibroadenoma, hiki iā ʻoe ke ʻike:
- He puʻu paʻa: ʻAʻole like kēia me nā cysts i piha i ka wai, akā he paʻa ke ʻano.
- ʻAʻohe ʻeha: ʻAʻohe ʻeha o kēia mau mea, akā i kekahi manawa e manaʻo paha ʻoe i kahi ʻeha iki a me ka palupalu i kekahi mau lā ma mua o ka hoʻomaka ʻana o kou wā.
- Neʻe maʻalahi: Inā ʻoe e kaomi ma luna me kou mau manamana lima, e ʻike ʻoe i kēia puʻupuʻu e neʻe ana i mua a i mua ma lalo o ka ʻili.
- ʻAno laumania a lahilahi: Ke paʻa ʻia i ka lima, he ʻano laumania kona, i kekahi manawa e like me ka pōpō laholio.
- Nā palena maopopo: Ua wehewehe maopopo ʻia nā kihi o ka puʻupuʻu, ʻo ia hoʻi, ʻaʻole ia e like me ka hui pū ʻana me nā ʻiʻo a puni.
Ulu pinepine kēia mau puʻupuʻu i mea nui loa. I kekahi manawa, ʻaʻole lākou e ulu iki, akā e mau ana ka nui like, a hiki iā lākou ke emi i ka hala ʻana o ka manawa. ʻOi aku ka maʻalahi o kēia mau mea e emi, ʻoiai inā ʻōpio ʻoe a kokoke paha i ka menopause. Eia nō naʻe, i ka wā hāpai, hiki iā lākou ke lilo i mea nui iki ma muli o nā loli hormonal.
No ke aha i hoʻokumu ʻia ai kēia mau fibroadenomas?
ʻAʻole i hiki i nā kauka ke loaʻa kahi kumu kūpono no kēia, akā manaʻo ka poʻe he nui e pili ana ia i ka ʻike i ka hormone estrogen .
E noʻonoʻo, i ka wā e piʻi ai ka nui o ka estrogen i loko o ko kākou kino (no ka laʻana, i ka wā hāpai, i ka wā e lawe ai i ka lāʻau lapaʻau hormone), ulu pinepine kēia mau puʻupuʻu. Eia kekahi, i ka wā e emi ai ka nui o ka estrogen ma hope o ka menopause, emi lākou. Maanei mai ka manaʻo o kēia pilina hormonal.
Pehea ʻoe e ʻike ai i kēia? He aha nā hoʻokolohua a ke kauka e hana ai?
Inā ʻike ʻoe i kahi puʻupuʻu i loko o kou umauma, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka. Mai hopohopo, akā he mea nui e nānā ʻia. Hiki i kāu kauka ke nānā iā ʻoe a hana i nā hoʻokolohua e like me kēia e ʻike pono ai i ke ʻano o ka puʻupuʻu.
1. Hoʻokolohua Umauma Lapaʻau: ʻO ka mea mua, e nānā kino ke kauka i kou mau umauma ʻelua. E hāʻawi kēia iā ʻoe i kahi manaʻo o ka nui, ke ʻano, a me ka neʻe ʻana o ka puʻupuʻu.
2. Nā Kiʻi Kiʻi:
- ʻO ke kiʻi Ultrasound: Hoʻohana kēia i nā nalu kani e hana i kahi kiʻi maopopo o ka puʻupuʻu. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he paʻa ka puʻupuʻu a he cyst piha i ka wai paha.
- Mammogram: He hoʻokolokolo X-ray kēia o nā umauma. Manaʻo pinepine ʻia no nā wahine ma luna o 35-40 mau makahiki.
3. Biopsy (Biopsy nila kumu i alakaʻi ʻia e ke kiʻi): Makaʻu kekahi poʻe ke lohe lākou i ka huaʻōlelo "biopsy," akā he mea maʻalahi loa ia. Nānā lākou i ka puʻupuʻu ma kahi scan, hoʻokomo i kahi nila liʻiliʻi loa i loko, a lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo. A laila hoʻouna ʻia i kahi lab e hoʻāʻo ʻia e ʻike i ke ʻano o nā cell i loko. Hiki i kēia ke haʻi iā ʻoe 100% no ka maopopo inā he fibroadenoma a i ʻole kekahi mea ʻē aʻe.
Pehea e mālama ʻia ai nā fibroadenomas? Pono anei e wehe ʻia?
ʻO ke ʻano o ka mālama ʻana no kēia mea e pili ana i kou mau makahiki, ka nui o ka puʻupuʻu, kāu mau hōʻailona, a me nā hopena o ka hōʻike biopsy.
- Nānā ʻana: Inā hōʻoia ka biopsy he fibroadenoma maʻalahi a ʻaʻole ia he mea ʻino, a ʻaʻole ia e hoʻopilikia iā ʻoe (e like me ka ʻeha), e ʻōlelo pinepine kāu kauka:"E nānā wale kākou i kēia no kekahi manawa." ʻO ia hoʻi, pono ʻoe e hele mai no ka nānā ʻana i kēlā me kēia 3-6 mahina. I kēlā manawa, e nānā lima ke kauka iā ia a, inā pono, e hana i kahi scan e ʻike inā ua loli ka nui o ka puʻupuʻu. ʻO ka hapa nui o ka manawa, e emi iho kēia mau mea ma o lākou iho, no laila ʻaʻole pono ke ʻoki kino.
- ʻOki ʻoki kino: I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo i ka wehe ʻana i ke ʻoki kino no nā kumu penei:
- Inā hōʻike ka hōʻike biopsy i nā hiʻohiʻona o kahi "fibroadenoma paʻakikī".
- Inā nui ka puʻupuʻu (ʻoi aku ma mua o 3-4 kenimika).
- Inā ʻeha a ʻoluʻolu ʻole paha kēlā iā ʻoe.
- Inā e hoʻomau ka ulu wikiwiki ʻana o ka puʻupuʻu.
- Inā he mau hopohopo a hopohopo paha kāu e pili ana i kēia.
He maʻalahi loa kēia ʻoki ʻana. Hana ʻia kahi ʻoki liʻiliʻi a wehe ʻia ka puʻupuʻu wale nō.
- Cryoablation: He ʻano lapaʻau hou kēia. Ma kēia, hoʻohana ʻia kahi mea liʻiliʻi e hoʻopaʻahau a luku i ka puʻupuʻu. Eia naʻe, ʻaʻole hoʻohana pinepine ʻia kēia ʻano hana ma Sri Lanka.
ʻO ka mea nui loa, ʻo ka hoʻoholo e wehe i ka fibroadenoma kahi mea āu e hana pū ai me kāu kauka. Mai makaʻu e nīnau i kāu kauka i kāu mau nīnau.
He aha nā nīnau āu e nīnau ai i kāu kauka?
Ke hele mākou e ʻike i ke kauka, i kekahi manawa poina iā mākou ka mea a mākou e makemake ai e nīnau. No laila he manaʻo maikaʻi ke kākau i lalo i kekahi mau nīnau e like me kēia.
- He aha ke ʻano o ka puʻupuʻu i loaʻa iaʻu?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu? Pono anei au e wehe i kēia?
- He aha ka mea e hana ʻia inā ʻaʻole e wehe ʻia kēia puʻupuʻu?
- E hoʻonui anei kēia i koʻu pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai umauma i ka wā e hiki mai ana?
- ʻEhia pinepine e pono ai iaʻu e hana i nā hoʻokolohua (e like me ka mammogram)?
- Aia kekahi mau mea kūikawā ʻē aʻe e pono iaʻu e mālama me koʻu mau umauma?
| I ka manawa e ʻike koke ai i ke kauka | |
|---|---|
| Inā ʻike ʻoe i kahi puʻupuʻu hou | Inā ʻike ʻoe i kahi puʻupuʻu hou i loaʻa ʻole ma mua, pono ʻoe e nānā. |
| Inā loli ka puʻupuʻu e kū nei | Inā nui aʻe ka puʻu, loli ke ʻano, a i ʻole e hōʻeha i loaʻa ʻole ma mua. |
| Nā loli umauma ʻē aʻe | Ka kahe ʻana o ka nipple, ka nipple i hoʻohuli ʻia, ka loli ʻana o ka ʻili, ka ʻili ʻalani, a i ʻole ka huehue ʻili. |
Hiki ke pale ʻia nā fibroadenomas?
ʻO ka mea pōʻino, ʻaʻohe ala maopopo e pale aku ai i ka ulu ʻana o fibroadenomas, no ka mea, pili lākou i ka hana hormonal. Eia nō naʻe, hiki iā ʻoe ke mālama i ke olakino holoʻokoʻa o kou mau umauma, hiki ke hōʻemi i kou pilikia o ka maʻi ʻaʻai umauma.
- E hana i kahi hoʻokolokolo umauma maʻamau: E nānā i kou mau umauma ma ka liʻiliʻi i hoʻokahi manawa i ka mahina. E hāʻawi kēia iā ʻoe i kahi manaʻo maikaʻi o ke kūlana holoʻokoʻa o kou mau umauma a kōkua iā ʻoe e ʻike koke i nā loli hou.
- He nohona olakino: ʻO ka ʻai ʻana i ka meaʻai kaulike, ka hoʻoikaika kino mau, ka kaohi ʻana i kou kaumaha, a me ka pale ʻana i ka waiʻona a me ka puhipaka he mea maikaʻi ia no ke olakino holoʻokoʻa a me ke olakino o ka umauma.
- Nā hoʻokolohua lapaʻau maʻamau: E kiʻi i nā hoʻokolohua e like me nā mammograms i nā manawa i ʻōlelo ʻia e kāu kauka e pili ana i kou makahiki a me ka pilikia.
Leka Lawe-Home
- He puʻupuʻu maʻamau loa ka Fibroadenoma, ʻaʻole maʻi kanesa (benign) e hana ana i loko o ka umauma.
- He mea maʻamau ke makaʻu i ka wā e ʻike ai ʻoe i kahi puʻupuʻu i loko o kou umauma. Akā, ʻaʻole nā puʻupuʻu a pau he maʻi kanesa.
- ʻO ka maʻamau, ʻaʻohe ʻeha o kēia mau puʻupuʻu, laumania, a neʻe i mua a i mua ma lalo o ka ʻili.
- ʻAʻole pono ka hapa nui o nā fibroadenomas i ka mālama ʻana. Hiki iā lākou ke emi iho ma o lākou iho i ka hala ʻana o ka manawa.
- Inā ʻike ʻoe i kahi puʻupuʻu hou a i ʻole kahi loli i kahi puʻupuʻu e kū nei, e ʻike koke i ke kauka. ʻO ia ka mea palekana a maikaʻi loa hiki iā ʻoe ke hana.
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